Odutola, Akinniyi Babasola
Odutola, Akinniyi Babasola is an individual health care provider with primary practice located at 475 Sumner Ave , Springfield MA 01108-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Odutola, Akinniyi Babasola can be contacted via phone (413) 241-6152.Contact Information
Primary practice address
475 Sumner Ave
Springfield MA 01108-2321
Phone: (413) 241-6152
Fax: (413) 241-6153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 210668 | Massachusetts |
Profile Details
| NPI number | 1588629240 |
|---|---|
| LBN Legal business name | Odutola, Akinniyi Babasola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588629240 | NPPES |
| Massachusetts | Other | 32424 | PROVIDER HNE # |
| Massachusetts | Other | 97431403 | PROVIDER HNE # |
| Massachusetts | Other | 2450995 | PROVIDER HNE # |
| Massachusetts | Other | 8207136 | PROVIDER HNE # |
| Massachusetts | Other | MO0497950A | PROVIDER HNE # |
| Massachusetts | Other | 210668 | PROVIDER HNE # |
| Massachusetts | Other | 3842111 | PROVIDER HNE # |
| Massachusetts | MEDICAID | 2159821 / 110080500A | PROVIDER HNE # |
| Massachusetts | Other | 692538 | PROVIDER HNE # |
| Massachusetts | Other | 000000049829 | PROVIDER HNE # |
| Massachusetts | Other | 0030525 | PROVIDER HNE # |
| Massachusetts | Other | 49849 | PROVIDER HNE # |
| Massachusetts | Other | J25872 | PROVIDER HNE # |
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